Questions to Ask Your Surgeon About Breast Reconstruction
If you’ve had surgery to treat your breast cancer and are considering breast reconstruction, it’s important to be fully informed about what to expect. Your breast surgeon can help you find a plastic surgeon who should be able to explain all of your options and answer your questions. Here you’ll find some questions to ask to help get you started. Be sure you get all of your questions answered, so that you can make the best decisions for you about breast reconstruction.
Finding the right plastic surgeon for your breast reconstruction
If you decide to have breast reconstruction, you’ll need to find an experienced board-certified plastic surgeon. Your breast surgeon can suggest doctors for you.
To find out if a plastic surgeon is board certified, contact the American Society of Plastic Surgeons (ASPS). This organization has a Plastic Surgery Information Service that provides a list of ASPS members in your area who are certified by the American Board of Plastic Surgery.
Getting a second opinion
It’s common to get a second opinion before having surgery. Don’t rush to get reconstruction surgery, or even mastectomy, before you know all of your options. It’s more important for you to make the right decisions based on complete information than to act quickly.
Questions to ask about breast reconstruction
It’s very important to get all of your questions answered by your plastic surgeon before having breast reconstruction. If you don’t understand something, ask your surgeon about it. You might want to take notes or record your talks with your surgeons. Some people bring their partner or a friend with them to the doctor to help remember what was said and to help ask other questions.
Here are questions to get you started. Write down other questions as you think of them. The answers to these questions may help you make your decisions.
When deciding if breast reconstruction is right for you:
- Can I have breast reconstruction?
- When can I have reconstruction done?
- What are the pros and cons of doing it at the same time as my cancer surgery (immediate reconstruction) versus waiting (delayed reconstruction)?
- Will reconstruction interfere with chemotherapy?
- Will reconstruction interfere with radiation therapy?
- What types of reconstruction could I have?
- What are the pros and cons with each option?
- What type of reconstruction do you think would be best for me? Why?
- What’s the average cost of each type? Will my insurance cover them?
- How long would it take me to recover from each type?
- How many of these procedures have you (plastic surgeon) done?
- What results can I expect?
- Will the reconstructed breast match my other breast?
- Should I consider surgery on the other breast as well to help them match?
- Could I have the nipple reconstructed if I choose to? What would this involve?
- How will my reconstructed breast(s) feel to the touch?
- Will I have any feeling in my reconstructed breast(s)?
- What possible problems should I know about?
- Will there be pain, scars, or other changes in the parts of my body the tissue is taken from (if using a tissue flap)?
- If I get a breast implant, how long is it likely to last?
- What kinds of changes to the breast can I expect over time?
- How will aging affect the reconstructed breast?
- What happens if I gain or lose weight?
- Are there any new reconstruction options that I should know about, including clinical trials?
- Can you show me pictures of typical results?
- Can I talk with other women who have had the same surgery?
When preparing for surgery
- What should I do to get ready for surgery?
- How much discomfort or pain will I feel after surgery?
- How long will I be in the hospital?
- Will I need blood transfusions?
- How long will it take me to recover?
- What will I need to do at home to care for my incisions (surgical scars)?
- Will I have a drain (tube that lets fluid out of the wound) when I go home?
- How much help will I need at home to take care of my drain and wound?
- Will I be taught exercises to do after surgery? When can I start them?
- How much activity can I do at home?
- What do I do if my arm swells?
- When will I be able to go back to normal activities such as driving and working?
American Society of Plastic Surgeons. Breast Reconstruction. Accessed at www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction.html on June 1, 2016.
Breastreconstruction.org. Accessed at: www.breastreconstruction.org/index.htm on June 1, 2016.
Djohan R, Gage E, Bernard S. Breast reconstruction options following mastectomy. Cleve Clin J Med. 2008;75 Suppl 1:S17-23.
Hedén P, Bronz G, Elberg JJ, et al. Long-term safety and effectiveness of style 410 highly cohesive silicone breast implants. Aesthetic Plast Surg. 2009;33:430-436.
Morrow M, Burstein HJ, Harris JR. Chapter 79: Malignant Tumors of the Breast. In: DeVita VT, Lawrence TS, Rosenberg SA, eds. DeVita, Hellman, and Rosenberg’s Cancer: Principles and Practice of Oncology. 10th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2015.
Namnoum JD. Expander/implant reconstruction with AlloDerm: Recent experience. Plast Reconstr Surg. 2009;124(2):387-394.
Nguyen MD, Chen C, Colakoğlu S, et al. Infectious complications leading to explantation in implant-based Breast reconstruction with AlloDerm. Eplasty. 2010;10:e48.
Resnick B, Belcher AE. Breast reconstruction. American Journal Nursing. 2002;102:26-33.
Spear SL, Parikh PM, Reisin E, Menon NG. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008;32:418-425.
Taylor CW, Horgan K, Dodwell D. Oncological aspects of breast reconstruction. The Breast. 2005;14:118-130.
US Food and Drug Administration. Breast Implant Surgery. Updated January 28, 2014. Accessed at www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm064176.htm on June 1, 2016.
US Food and Drug Administration. FDA approves new silicone gel-filled breast implant (News Release, Feb 20, 2013). Accessed at www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm340447.htm on June 1, 2016.
US Food and Drug Administration. FDA Update on the Safety of Silicone Gel-Filled breast Implants. Updated June 2011. Accessed at www.fda.gov/downloads/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/
BreastImplants/UCM260090.pdf on June 1, 2016.
US Food and Drug Administration. Guidance for Industry and FDA Staff -- Saline, Silicone Gel, and Alternative Breast Implants. November 2006. Accessed at www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm071228.htm on June 1, 2016.
Last Medical Review: June 1, 2016 Last Revised: August 18, 2016